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| Inspection Nr | 104302641 |
| Investigation Nr | 738799 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Shock |
| Environmental Factor | Other |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Plumbers, pipefitters and steamfitters |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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